Alumni Contact – Online Form « Lexington Theological Seminary online | Flexible online seminary programs that nurture and challenge people to be great pastors

Alumni Contact – Online Form

Prefix:

First and Last Name:

Middle Name:

Maiden Name:

Residence Street:

City/ State/ Zipcode: *

Home Telephone:

Cell Phone:

Preferred E-Mail:

Work E-Mail:

Degree 1:

Institution 1:

Degree 2:

Institution 2:

Date of Ordination:

Congregation/Denominations(s):

Job Title 1:

Organization Name, City, State 1:

Martial Status:

Spouse First Name:

Spouse Last Name (if different):

Date of Marriage:

Children's Names: Please included date of birth if you are comfortable sharing this information with the Seminary.)

Volunteer, service and professional activities:

Do you prefer to receive your donation receipts through mail or email?:

Mail

Please provide us with your suggestions of alumni activities you would like to see the Seminary host in the future: